Abstract:

Objective To explore the potential facilitators and barriers to the clinical translation of evidence related to minimizing physical restraint in ICU children for formulating change strategies. Methods Based on the evidence-based method，the best evidence was extracted and 13 review indicators and methods were formulated. ICU nurses and children were reviewed in a tertiary class A Children’s Hospital. The promotion guideline list of the i-PARIHS framework was adopted. According to the review indicators and baseline review results，the promoting and barrier factors of evidence transformation were analyzed，and change strategies were formulated. Results The rate of physical restraint before best evidence application in ICU was 71.19%. Among the 13 review indicators，the implementation rate of 3 review indicators was >60%，the implementation rate of the remaining 10 review indicators was less than 60%，and the implementation rate of 6 review indicators was 0. The total score of ICU nurses’ knowledge and practice questionnaire on physical restraint was（55.77±8.11）. 15 facilitators and 15 barriers for minimizing physical constraint evidence transformation in ICU children were analyzed，and 11 change strategies were developed. Conclusion There is still a big gap between the best evidence of minimizing physical restraint among children in ICU and clinical practice. Scientific review indicators should be developed，facilitators and barriers factors should be comprehensively analyzed，and corresponding reform strategies should be implemented to lay the foundation for evidence-based nursing practice.

Key words: Intensive Care Units, Pediatric, Physical Restraint, Minimization, Evidence-Based Nursing, i-PARIHS Framework